Organization
SERENITY SPACE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA VAGANOVA LMFT (OWNER)
(954) 999-2320
Entity
Organization
Contact information
Practice address
2699 STIRLING RD STE C403A, FORT LAUDERDALE, FL 33312-6564
(954) 999-2320
Mailing address
2699 STIRLING RD STE C403A, FORT LAUDERDALE, FL 33312-6564
(954) 999-2320
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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